Capsular Contracture in Subglandular Breast Augmentation with Textured versus Smooth Breast Implants: A Systematic Review

@article{Wong2006CapsularCI,
  title={Capsular Contracture in Subglandular Breast Augmentation with Textured versus Smooth Breast Implants: A Systematic Review},
  author={Chin-Ho Wong and Miny Samuel and Bien Keem Tan and Colin Song},
  journal={Plastic and Reconstructive Surgery},
  year={2006},
  volume={118},
  pages={1224-1236}
}
Background: There are conflicting recommendations in the literature regarding the use of textured implants to reduce capsular contracture in subglandular breast augmentation. The authors reviewed the literature to evaluate the effectiveness of surface texturization in reducing capsular contracture. Methods: The electronic databases MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials were searched for randomized controlled trials comparing textured with smooth implants for… Expand
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TLDR
It is suggested that adherence to a surgical technique focused on minimizing bacterial contamination of the implant is of greater clinical significance than implant surface characteristics when discussing capsular contracture. Expand
Comparison of the Postoperative Incidence Rate of Capsular Contracture among Different Breast Implants: A Cumulative Meta-Analysis
TLDR
A cumulative systematic review of breast augmentation that used implants with textured or smooth surfaces to analyze the effects of these two types of implants on the occurrence of postoperative capsular contracture indicated that smooth breast implants were more likely to be associated with capsularcontracture. Expand
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Discussion: Risk Factor Analysis for Capsular Contracture A 5-Year Sientra Study Analysis Using Round, Smooth, and Textured Implants for Breast Augmentation
  • M. Schwartz
  • Medicine
  • Plastic and reconstructive surgery
  • 2013
TLDR
A large study analysis based on 5 years of data is presented to establish risk factors for capsular contracture in Sientra’s round, smooth, and textured silicone breast implants and concludes that both submuscular placement and surface texturing are statistically significant factors in the prevention of this persistent problem. Expand
Risk Factor Analysis for Capsular Contracture: A 5-Year Sientra Study Analysis Using Round, Smooth, and Textured Implants for Breast Augmentation
TLDR
Evidence is provided that submuscular placement and textured implants, in addition to other factors, are significant in reducing the incidence of capsular contracture in primary augmentation patients. Expand
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TLDR
The incidence of contracture developing is lower with the use of textured implants, submuscular placement and theUse of polyurethane coated implants, while recent research has focussed on preventing capsular contracture from occurring, or treating it with autologous fat transfer. Expand
Subglandular Breast Augmentation with Textured, Anatomic, Cohesive Silicone Implants: A Review of 440 Consecutive Patients
TLDR
The complication and reoperation rates with the Allergan Style 410 implant are consistent with those of other implants; however, there are also several problems associated with textured anatomic implants that must be considered when deciding on the best approach to breast augmentation for a patient. Expand
Revisiting the Management of Capsular Contracture in Breast Augmentation: A Systematic Review
TLDR
There is limited clinical evidence behind the surgical management of capsular contracture, but site change and implant exchange are associated with reduced contracture recurrence rates and likely play a beneficial role in treating capsularcontracture. Expand
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References

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Capsular Contracture with Textured versus Smooth Saline‐Filled Implants for Breast Augmentation: A Prospective Clinical Study
TLDR
Texturization of saline‐filled implants with textured or with smooth surfaces did not reduce the incidence of capsular contracture and the patients' views on the results did not differ between textured and smooth prostheses or between right and left breasts. Expand
Textured or smooth implants for breast augmentation? Three year follow-up of a prospective randomised controlled trial.
TLDR
The effect of textured implants in reducing capsular contracture in augmentation mammaplasty found at one year is maintained at three years, and it is suggested that it may be long lasting. Expand
Textured or Smooth Implants for Submuscular Breast Augmentation: A Controlled Study
TLDR
There was a small but inconclusive difference in capsular contracture rate that favored the placement of textured rather than smooth implants in the submuscular pocket. Expand
Tendency to capsular contracture around smooth and textured gel-filled silicone mammary implants: a five-year follow-up.
TLDR
Comparisons between the 1-year and 5-year tonometric results of the 24 breasts that still had the original textured implants showed that after 5 years, a small but statistically significant increase in hardness had occurred compared with that after 1 year. Expand
Ten-Year Review of a Prospective Randomized Controlled Trial of Textured versus Smooth Subglandular Silicone Gel Breast Implants
TLDR
A database containing the details of 1100 patients reinforces results by examining the differences in contracture rates of textured, smooth, and polyurethane-coated implants, as well as the apparent increase in capsular contracture in patients who smoke. Expand
Rate and Incidence of Capsular Contracture: A Comparison of Smooth and Textured Silicone Double-Lumen Breast Prostheses
  • R. Ersek
  • Medicine
  • Plastic and reconstructive surgery
  • 1991
TLDR
It appears that deeply textured silicone surfaces delay or decrease the rate and incidence of clinical capsular contracture, at least for 2 years. Expand
Capsular contracture around saline-filled fine textured and smooth mammary implants: a prospective 7.5-year follow-up.
TLDR
This study showed no significant difference of contracture with smooth versus fine textured implants, and the majority of the patients preferred the smooth implants. Expand
Breast Capsular Contracture: A Retrospective Study of Textured versus Smooth Silicone Implants
  • H. Pollock
  • Medicine
  • Plastic and reconstructive surgery
  • 1993
TLDR
Textured-surface silicone implants are shown statistically to reduce capsular contracture to 4 percent, compared with a 21 percent incidence with smooth- surface silicone implants, in two similar groups of breast augmentation patients. Expand
Surgical Intervention and Capsular Contracture After Breast Augmentation: A Prospective Study of Risk Factors
TLDR
It is indicated that surgical procedures are more important predictors for local (short-term) complications than implant or patient characteristics. Expand
Capsular Contracture After Cosmetic Breast Implant Surgery in Denmark
TLDR
Occurrence of capsular contracture did not appear to be associated with implant surface or placement, occurrence of local complications, or patient characteristics, although these findings should be interpreted cautiously. Expand
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